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Federal forms, ICRs, and supporting documents

Information Collection Request

Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)

ICR 201905-1218-002 · OMB 1218-0176 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Professional Sports Team One-Time Survey Form and Instruction New Repair queued
Form OSHA 6-40.1 Reporting Occupational Injuries and Illnesses Form and Instruction Unchanged Repair queued
Form OSHA Forms 300, 30 Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form Unchanged Available
Professional Sports Team One-Time Survey Justification.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-05-24 Repair queued
Appx A 1218-0176 tracking final rule 01.24.19.docx Supplementary Document Uploaded 2019-01-24 Repair queued
ss 1218-0176 tracking final rule 01.24.19.docx Supporting Statement A Uploaded 2019-01-24 Available
29 CFR 1904 (CFR-2018-title29-vol5) downloaded 01.10.19.pdf Supplementary Document Uploaded 2019-01-10 Available
29 USC 673 Sec 24.pdf Supplementary Document Uploaded 2008-01-16 Available
29 USC 657 Sec 8.pdf Supplementary Document Uploaded 2008-01-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
236063 Professional Sports Team One-Time Survey Form and Instruction New
212582 Reporting Occupational Injuries and Illnesses Form and Instruction Unchanged
14117 Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form Unchanged
ICR Details
1218-0176 201905-1218-002
Active 201901-1218-001
DOL/OSHA 1218-0176(2019) Final Rule
Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/20/2019
Retrieve Notice of Action (NOA) 05/24/2019
  Inventory as of this Action Requested Previously Approved
03/31/2022 03/31/2022 03/31/2022
5,904,031 0 5,903,976
2,140,861 0 2,140,856
0 0 0
The OSH Act and 29 CFR Part 1904 prescribe that certain employers maintain records of job related injuries and illnesses. The data are needed by OSHA to carry out intervention and enforcement activities to guarantee workers safe and healthful workplaces. The data are also needed by BLS to produce national statistics on occupational injuries and illnesses.
US Code: 29 USC 657(c) Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 673 Name of Law: Occupational Safety and Health Act
  
None
1218-AC49 Final or interim final rulemaking 84 FR 380 01/25/2019
  83 FR 36494 07/30/2018
83 FR 36494 07/30/2018
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,904,031 5,903,976 0 55 0 0
Annual Time Burden (Hours) 2,140,861 2,140,856 0 5 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a non material change for a currently approved collection.
$779,600
No
    No
    No
No
No
No
Uncollected
Saleda Perryman
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/24/2019